Saturday, January 7, 2012

Is 2012 The New Era for Health Train Express?

Better Health (TM): smart health commentary

Val Jones MD, perhaps the empress of health social media, and Better Health has announced her discontinuation of posting blogs on Better Health LLC. She however indicated the continuation of the brand as a platform for Grand Rounds and for her use of it as her personal consulting platform.

Dr Jones, along with others, has been a visionary and developed considerable credibility with early backing from Revolution Health and Steve Case’s interest in health reform.  Her success required considerable investment of time, resources and the generous support of many silent investors, physicians, nurses and medical journalists.   She innovated aggregation of gifted medical writers into a visible public platform for medical news.

There were and are a central core of respected experts contributing to Better Health and these contributors will continue to create content in their own spaces.

Thank you to Val Jones M.D. for her effort and success in opening a new vista in communication for patients and providers. I will miss her cartoons.

The range of contributors to Better Health include:

David Harlow, Dr Wes, Dr. Mike Sevilla, Kevin Pho MD,Lucy Hornstein M.D.,Nicholas Genes M.D.,Steve Novella M.D.,, Tony Brayer M.D., Jeffrey Benabio M..D.,

Better Health was and is more than a blog. It matured into a digital form of a medical journal, branding itself as an online media company. It has served it’s purpose and will continue in the digital health space, not to be left behind.

Many new entities are evolving, such as Social Media Today, Health Works Collective, and many others as the niche matures.these follow the early leadership of iHealthBeat, and California Healthline.

Social media in medicine is evolving quickly and in order to continue our success we must all evolve as it morphs into new delivery methods.

I am sure we will hear much more from Val Jones MD

Thanks Val.

Health Train in the Sunlight

 

image

The Health Benefits of Sunlight

Researchers have started recognizing the importance of sunlight for a healthy lifestyle, recent studies reveal that sunlight renders many health benefits. Apart from Sunlight maintaining temperature and humidity, sunlight plays a significant role in nourishing and energizing the human body. It is also vital in order to get the full nutritional value from food that you consume and it has been proven that getting sufficient sunlight aids in preventing chronic ailments such as seasonal affective disorder (SAD), osteoporosis, mental depression, type 2 diabetes, and cancers affecting the bladder, breasts, cervix, colon, ovaries, prostrate, and the stomach. To put it more succinctly, sunlight serves as the perfect medicinal pill in promoting a healthy lifestyle.

One of the prime benefits of sunlight is that it supplies the body with Vitamin D, which not only promotes the absorption of calcium in the gut but also transfers calcium across the cell membranes. This in turn provides strength to the bones as well as contributes for a healthy nervous system by increasing the production of endorphins in the brain. Usually, deposits of cholesterol-like substances known as ergosterol can be found beneath the skin, which gets converted into Vitamin D hormones when the sunlight penetrates the skin.

Vitamin D also helps to lower the level of cholesterol in blood, and sunlight can even prevent the growth of cancerous tumors. Studies show that exposing your face to sunlight for 10 minutes every day can provide your body with the Vitamin D that is required for the day. A lack of Vitamin D is associated with a host of autoimmune ailments such as Crohn’s disease, multiple sclerosis, rheumatoid arthritis, and thyroditis.

Another significant benefit of sunlight is that it helps in the prevention of infections resulting from bacteria, molds, and viruses. The health benefits of sunlight include the enhancement of the immune system by increasing the count of white blood cells as well as gamma globulin, which is beneficial in warding off viruses and germs and it enhances the capacity of red blood cells in carrying oxygen.

According to certain studies, getting adequate sunlight serves as the perfect exercise for the heart, as it enables the body to lower the resting pulse rate and decreasing hypertension, thereby making the heart healthier. Sunlight also provides resistance power to the skin, by avoiding skin diseases such as psoriasis, eczema, and acne problems. Further, getting sunlight is also correlated with the stimulation of the pineal gland, which produces such vital chemicals as tryptamines.

Other health benefits derived through the exposure of sunlight are:

  • Strengthening of cardiovascular system

  • Normalizing blood pressure as well as blood sugar

  • Increased metabolism

  • Aiding in weight loss

  • Ensuring proper functioning of kidneys by eliminating wastes

  • Enhanced liver function

  • Improved digestion

  • Above all, sunshine has that magical power to alter your moods and cheer you up, thereby preventing anxiety and depression

Despite its advantages, excess exposure to sunlight may be sometimes destructive, as it can lead to ailments such as eye damage, melanomas, and skin cancer. Likewise, over exposure to sunlight may sometimes result in a change in the color as well as the size of the skin, appearance of irregular spots on the face, and itchiness or tenderness to the skin.

In other words, benefits derived from the sunlight depend upon its usage. Methods such as sunbathing and sun tanning are considered effective for getting adequate sunshine, but make sure that you are using a quality after-sun lotion in order to moisturize your skin after sun tanning. Likewise, put on such clothes that cover your arms as well as legs after sunbathing, which in turn safeguard you from further exposure. However the most important thing to remember that an excess of anything, including sunlight, can be damaging to your health.

Health Train and Winter

Summary Box: Phone app aims to help winter drivers

Mobile apps are the big items this year, not only in health care, but in a multiplicity of other niches.

When a powerful blizzard ripped through North Dakota last winter, hundreds of drivers were stranded as white-out conditions shuttered interstates statewide.Even in large metropolitan areas sudden and large snow storms can paralyze drivers with other cars close by. The recent Chicago Lake Shore drive emphasizes the fact that this does not occur in only North Dakota.

image

That convinced two local software developers to create the Winter Survival Kit app.

North Dakota State University's Bob Bertsch and Jake Joraanstad came up with the free program for iPhones and Android smartphones to help motorists prepare for winter driving and when things go badly.

One app available through the iTunes app store is a crossover, linking mobile apps for driving and prevention of possible frostbite and even death if isolated by blizzard conditions and being stranded in your car.

The application “Winter Survival Kit” can be downloaded for FREE at the iTunes app store. It will function on the iPhone, iPad  and also on  Android Phones

                            image 

This app will help you find your current location, call 911, notify your friends and family, calculate how long you can run your engine to keep warm and stay safe from carbon monoxide poisoning.

Version 1.3 update December 2011, and all reviews give it a 4-5 star rating.  

The application provides instructions for preparations for cold weather survival and what to do if stuck in your car.

It also functions as an emergency 911 alert and will supply geolocation information  to emergency dispatchers.

Other information it can calculate is time until your fuel runs out, and to remind you to check your exhaust every 30 minutes to prevent asphyxiation from carbon monoxide.

image

The application was developed by Myriad Devices  and financial support from a grant from  USDA National Institute of Food and Agriculture   Smith-Lever Special Needs grants.

HealthTrain Express assesses this device as a mandatory  one for anyone who drives in a cold weather climate. It’s usefulness may be restricted in areas that do not yet have cell phone availability. If you are on one of the U.S.National Defense Highways (Interstate Highway System) it’s a fairly safe bet you will have cell coverage.

The only thing it does not seem to do is make hot coffee….perhaps in version 2.0

Remember also that if cell phone strength is week text messaging may still function….use Twitter, SMS or IM.

Friday, January 6, 2012

California Health Budget Slash

 

Governor Brown surprise budget announcements.

Major revisions will be made to California’s health safety net, with reorganization and  downsizing big government.  No doubt this will be unpopular in some circles. This is further complicated by federal mandates for health insurance exchange formation and proposals to use Medi-Cal as a vehicle for uninsured, uninsurable, and poor.

Expect Chaos

Unprotected Sex and Fellatio

Warning: This post may not be appropriate for readers under the age of six.

The  article is not intended to be discriminatory in terms of sexual preferences, race, creed, color or political preferences.

I am expanding upon an article read in the WSJ Health Blog today.

A recent study reported in the WSJ Health blog discusses the overall slight decline in rates of cancer with an uptick in certain types of cancer.

Among the small increases are the incidence of oral cancers (HPV papilloma of the posterior pharynx, malignant melanoma, thyroid cancer,  Although the decline in smoking should decrease this incidence it appears that ‘oral sex’ increases the rate for practitioners of this art of  karma sutra.

I have given up cigarettes, alcohol, marijuana, meth,cocaine but I will not have oral sex withdrawn (pun intended) from my repertoire of pleasurable activity.

Several important features of the study were missing, male vs. female rates, unprotected vs. protected sex and whether the study was separated into homosexual encounters or heterosexual encounters.

The CDC and Public Health Service have been allotted ten million dollars for this anti-motivational poster, seen on the left below which is somewhat akin to the anti-smoking images seen below as well

    smoking-lip-l

P.S  Smoking is banned on the Health Train Express, Oral fellatio? That depends….

The entire post is offered (tongue in cheek). Oh there I go again with my oral fixations this morning I am having oatmeal with bananas (cut up for those of you with dirty minds…). Hope you enjoy your coffee !

The Dangers of Social Media and Self Diagnosis

Self-diagnosis by search engine leads surfers to fear the worst

I have been a proponent of social media and it’s use to improve healthcare and improving accessibility for patients to clinicians and hospital resources, there are certain caveats and precaution are advised when attempting ‘self diagnosis’

In the past ten years innumerable web sites have become available for patients..  Remembered that these sites were never meant to be  used in an isolated fashion for self diagnosis. They are meant to be educational and as a supplement to professional office or clinic visits.

Entering or searching for symptoms both physical or emotional into a web site will list many answers, some irrelevant. These sites can be accessed either before a visit or after a visit to assist you in discussing your condition with your health provider. 

Today’s both physicians and patients are  faced with decreased face-time during the visit. Web sites are a positive influence for both physician and patient when used properly.

They provide the patient an opportunity to ask appropriate questions for the health provider on initial visits, and for follow up education especially if the provider educates his patient as to what sites are credible sources as a supplement to the office visit.  Patients should discuss their sources with  their doctor.

Social media also provides relevant and usually accurate information about health information technology advances, not only  in EMRs, HIEs but the explosion of mobile apps for their use in non clinical settings, home monitoring and accessing insurance information, geolocation services for emergencies, hospital and offiice wait times, and drug information.

2012 promises to be another innovative year of HIT and Health Reform.

Tuesday, January 3, 2012

It’s In Your DNA: Social Media

 

Take a look at the Info graphic below…. This is taking place in a single minute — every minute — of most everyday within the digital world….  

Still think it’s a passing fad?

Still think you do not need to establish some form of digital presence on the healthcare social media stage? 

—Think again —

Healthcare Social Media Digital Footprint

http://goo.gl/Bwz1d By: Shanghai Web Designers

Howard J Luks M.D. points out the reasons why physicians should participate in the landscape of social media in his recent post via Summify.

Dr Luks message and articulation of the message is so well put that I repeat it here, and give him full credit for this information. It bears repeating in my blog(s).

I happen to agree with him. Issues surrounding health care and health reform have become much more public, open and transparent. Physicians must use the medium which is presently gaining momentum to replace printed and rapidly becoming obsolete magazines, newspapers and other forms of advertisement.

Let’s face it most studies and experience show the decline of ‘established newspapers, and journals. This is even more apparent in the under age 50 demographic.

Dr. Luks points out:

  • 50% of the world’s population is under 30. 
  • They do not communicate via e-mail or telephone. 
  • Generation Y and generation Z consider e-mail passé. 
  • The fastest growing segment on Facebook is women over 55 years of age.  
  • SMS, direct messaging, micro-blogging and digital media is fast becoming the chosen communication standard.
  • Drug/Medical related “Likes” on Facebook have skyrocketed.

Dr Luks goes on to elaborate:

50% of the mobile Internet traffic in most countries is for Facebook. One on five patients flock to Facebook for healthcare information.  Imagine what this means for a bad patient experience?  The world has gone digital —social media is here to stay.  1 billion people simply cannot be wrong. 85% of people log onto their Facebook account every single day.

Any news media presently in business  already has built or is building a social media presence. Twitter, Facebook and Google + seem to be in the lead of popularity and each has it’s own model which changes almost daily in an effort to capture the most users.

Recently I have been in several hangouts on Google + where people have asked for my medical opinion in the hangout. Each of them has expressed their willingness to “waive their privacy rights'” under current HIPAA laws.

Physicians are entrenched in patient privacy and confidentiality by their own training and ethics long before HIPAA was passed. Despite this restriction, many patients already waive privacy when they allow their story to be told  at grand rounds in presentations, for testimonials regarding treatments, in other media and for other purposes.   Does this carry forward for social media?

I would like to ask the readership their opinions and experience in this matter? How many of you have been asked this same question, and what have you advised? Would a verbal waiver be adequate or would you require it to be in writing? 

.

What most physicians recognize is that access to a physician (and almost any physician) is restricted by time and distance. Patient abhor our new systems of telephone trees and triage.  Numerous times potential patients express their desire to interact on social media or email with their physician even preferring to leave a ‘message’ via email, twitter or Google plus.

With the enormous increase in ‘Boomers’ our system is about to be stressed beyond it’s limits unless some creative steps are taken by universal acclaim. We cannot wait for governments to solve problems that physicians and patients are able to address together. The perfect storm of limiting reimbursements, and increasing benefits, and access threaten our health system.  The first step has already taken place by eliminating pre-existing conditions, and extending eligibility of children under the age of 25 under their parent’s policies.

Physicians should start thinking about setting aside fifteen to thirty minutes a day to devote to patient care via social media. Some are already doing this via secure email or built in secure messaging in their electronic medical record systems. However not all EMRs are created equal and most do not afford this feature.

Most patients no longer find a physician through the yellow pages..they search on Google. Google also indexes social media, and blogs. Their entrance to your practice (other than an insurance roster) is already via a search engine, be it BING, YAHOO, or GOOGLE, Twitter and Facebook. Patients can even invite you to a Google Plus Hangout. And these can be one on one.

Internet social media is only beginning and will be adapted in ways we cannot yet even imagine. It has already become a commonplace feature of broadcast television, anchor news, and international links between non major news sources for direct news bypassing conventional syndicated news sources such as CNN, FOX, ABC and NBC.  It may become a primary source for professional journal news releases.

The American Medical Association has published a statement regarding physicians’ use of Social Media

Stay tuned…different place, different station and at any time.

 
Design by Free Wordpress Themes | Bloggerized by Lasantha - Premium Blogger Templates